Breast Prosthesis, Silicone or Equal
L8030 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.
Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?
Cost Key: |
Lower Cost | Medium Cost | Higher Cost |
Facility  |
City/State |
Average Cost Range  |
||
|---|---|---|---|---|
| Hanger Prosthetics & Orthotics Burnsville | Burnsville, MN | $253.90 - $338.67 | |||||
| Hanger Prosthetics and Orthotics East Inc | Saint Paul, MN | $253.90 - $338.67 | |||||
| Heides Mastectomy Services | Edina, MN | $253.90 - $338.67 | |||||
| Heides Mastectomy Services of Duluth Inc | Duluth, MN | $253.90 - $338.67 | |||||
| Mayo Clinic Store Flower of Hope | Rochester, MN | $253.90 - $338.67 | |||||
| Mayo Clinic Store-Midelfort | Eau Claire, WI | $253.90 - $338.67 | |||||
| Nordstrom Inc | Minnetonka, MN | $253.90 - $338.67 | |||||
| Nordstrom Inc - Mall of America | Bloomington, MN | $253.90 - $338.67 | |||||
| North Metro Orthotics & Prosthetics Inc | Fridley, MN | $253.90 - $338.67 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $253.90 - $338.67 | |||||
| Rice Home Medical LLC | Willmar, MN | $253.90 - $338.67 | |||||
| Rice Home Medical LLC | Alexandria, MN | $253.90 - $338.67 | |||||
| Rice Home Medical LLC | Redwood Falls, MN | $253.90 - $338.67 | |||||
| Sanford HealthCare Accessories | Fargo, ND | $253.90 - $338.67 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $379.16 - $402.61 | |||||
| Superior Medical Services | Blaine, MN | $253.90 - $338.67 | |||||
| Superior Medical Services Inc | Woodbury, MN | $253.90 - $338.67 | |||||
| Tandem Orthotics & Prosthetics Inc | Sartell, MN | $253.90 - $338.67 | |||||
| Tillges Certified Orthotic Prosthetic Inc | Maplewood, MN | $253.90 - $338.67 | |||||
| Underneath It All | Eden Prairie, MN | $253.90 - $338.67 |
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